PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT
Date:?. =-
• S Ibf fly :5 =. .E 9 6 � A• D,K'f if :.6 4
LOCATION OF BUILDING
No. 5295 Street 3041. Imier Drive Part of Lot
Lot 8 ._ Block 1 Addition or Sub -Division Imsbracks 5+h
Corner Lot _. X Inside Lot .. _ Setback __ _ Sideyard
sewer Elevation 961.12 — ROEW Elevation 964.62 .
Ity" TOP OF FOOTING
DESCRIPTION OF BUILDING
� .,4j1tq
N'° 8754
To be Used as:
mnine Front —.M_ Depth dpi Height20 tr Sq. Ft. 2s 160 cu. F't. 43,E 20�
kttaahed -GarrMe Front 24, Depth 241 —VOA
10t Sq. Ft. _.576 cu. Ft. .5t 7.6
Type of Construction Frame Est. Cost —� n __.__.__�_. To be Completed —
SEWER - 108' South of Manhole
WATER ® 10' North of Sewer
In consideration of the issuance to me of a permit to c the buil cfb e I to do
the proposed work in accordance with the description Orth and th ail ons of
ordinances of the city of Fridley.�� _
In consideration of the payment of a fee of $ 42-00 , permit is hereby granted to _RO
w.+ to construct the building or addition as described above. This t is granted upon
the express condition that the person to whom it is granted and his agents, employees an workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesotalocation, construction, alteration, maintenance, repair and moving of buildings
within the city limits wind this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
NOTIC&
This permtf dor not -over the cendmarion, Installation for wMeg, plmbing, on heating, sower or water. Be sure to as
the BuIMM9 Inspeater for separate pwaft for thea Dom
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER r S NAME DER
ADDRESS�,n � _ .-? �/l � � /�/„ 1`� ADDRESS
LO ATI ON 6 OF .BUILDING
0
NO., �� � STREET PART OF LOT
LOTBLOCK I ADDITION OR SUBDIVISION ���`� elf�,,te
CORNER LOT ✓ INSIDF`LOT SETBACK SIDE -YARD}
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To b u ed as,
Front_Depth 0 Height
Sq. Ft. Cu. Ft
Front Depth .1 Height
Sq. Ft. ® Cu. Ft. ��z
Type of Construction / ,®��� Estimated Cost _ �� UGO
To be completed
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. (�
rte' e2 �
DATE -SIGNATURE��
(Schedule of Fee Costs can be found on the Reverse Side). ®j
.. 'r
Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR $ P�
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. IDR Steam .... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
* Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal. per hour 5.00 $
over 3 gal. per hour—See Fee Schedule �—
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES:
1st 3 Fixtures ......................
Additional Fixtures ................
Gas Range to 200,000 BTU ...........
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
NO RATE VT1TAL
_ x $1.50 $
_ x .50 $
x 2.00 $
$
See Fee Schedule
Dept. of Bldgs. Phone SU 4-7470
i
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
_ ridley,'AIinn SEP 13 196is
Owner
Kind of
Used as
NOV 1 31966
To be completed about
® ca
Estimated Cost, $
Old New. uilding Permit No.
Permit No. *-7,2-
DESCRIPTION OF WORN
HEATING , Warm Air—No
Trade Name Size Noll 611
Capacity Sq. Ft, E.D.R ® r g520 C) BTU H.P.
Total Connected Load Kind of Fuel
BURNER — Trade
Size No-l�✓�/lo i
Capacity Sq. Ft. E.D.10 ` " d/' Cgj H.P.
/ ® ,VnaNG I ATING & AIR GOND.. CO.
6409 GOODRICH AVE. S.
MINNEAPOLIS 26 MLNN
TOTAL FEE
(REMARKS—OVER)
S
Signed 92SN99539
By
Business Phone No
D•56
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H.V.E. Construction No.
Guide
Windows Doors Reference Out. Wall Int. Wall Ceiling I Roof Floor
Yes—No I Yes—No 19—
I FlAAdA4vr v Room I Length �3 i Width // Height 9:2 II /
Windows and Doors—Crackage and Area
Ne
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq, ft.
73 30
® J/
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.1 Btu
Infiltration
Coef.
Btu
Infiltration
Exp. wall
Net exp. wall 40
/S -Z
Glass
—�
Ceiling
Exp. wall `3
IG -6-0
Exp. wall
Net exp. wall 7231
Exp. wall 3 q Y-
Floor 6 )� (S7 I I-ISZZ
Int. wall
Net exp. wall
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ceiling
Int. wall
Ceiling
Ceilin
FIoor Zo Wei'
Floo W16
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ FI.1 104ry Room ( Length "--) Width Height -za
Windows and Doors—Crackage and Area
p �
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
73 30
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.1 Btu
Infiltration
Infiltration
Glass
-Z-0 ei
Exp. wall
Net exp. wall 40
Net exp. wall
Int. wall
—�
Ceiling
Exp. wall `3
Floor }�
Ceiling
Total Btu. I Lis:
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ Fl.1_WAIAVA16' Room I Lenath /-S-Width ® ®Height
Windows and Doors—Crackage and Area
p �
Width Height No. of Lineal ft. Area
No. off pane of pane llghte of crack sq. ft.
73 30
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.1
Btu
Infiltration
-3%1
-Z-0 ei
Glass
Exp. wall 2
�®
Net exp. wall
Glass
—�
Int. wall
Exp. wall `3
Ceiling
Net exp. wall 7231
Exp. wall 3 q Y-
Floor 6 )� (S7 I I-ISZZ
Int. wall
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ceiling
Kind
MINNEAPOLIS, MINK.
Insulation
How. Applied
110V 1.1 /d rf.•_i.
� a�dvaa- +-.caagua
p �
+..+5+•
Windows and Doors—Crackage and Area
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. ofLineal ft. Area
No. of pane of pane lights of crack sq. ft.
Z-
Coef.
Btu
Infiltration
Btu
t
Glass
—�
/e
Exp. wall `3
Net exp. wall 7231
Exp. wall 3 q Y-
7-00-7
Int. wall
Net exp. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area t
Fl.l 1, � Al Room ( Length 7 V
Width
1
Height
Windows and Doors—Crackage and Area
Width Height No. ofLineal ft. Area
No. of pane of pane lights of crack sq. ft.
Z-
Coef.
Btu
Infiltration
/e
Glass
Exp. wall 3 q Y-
Net exp. wall
Int. wall
Ceiling
FIoor Zo Wei'
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.1Room I Length `� Width Height
Windows and Doors—Crackage and Area
Width Helght No. of Lineal ft. Area
No. of pane or pane lights of crack sq. ft.
Coef.1 Btu
Infiltration Z5,9
Glass zwqm
Exp. wall .V7 6
Net exp. wall Z
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
IDJ67AW9
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MILAN.
Weatherstrips A.S'H.i�.E. Construction No. Insulation
Guide
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied
Yes—No I Yes—No 19—
i Fl.1 /f/ rz.4vz-*s Length K, Width 1 ;�- Height II ' Fl.l Room I Length /% Width lCoir Height
Windows and Doors—Crackage and Area
too
(�
,
Width Height No. of Lineal ft. Area
No. of pane of Pane tights of crack aq. ft.
sig
Windows and Doors—Crackage and Area
Coef.
Btu
Infiltration
rL-
(i5
Glass Y
�
(�
Exp. wall
101;5
Coef.1
Net exp. wall
Infiltration
Glass
L12
Int. wall
6
Ceiling
Exp. wall `Z4
K46
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI I n-vpp Room I Len h U W'.'4"1.( H ' Lf -
51
1 otal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
7 F1.1 RA -r U Room I Lensth / Width e -X 14aiaht
Windows and Doors—Crackage and Area
10
,
sig
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. ofpane of pane lights of crack sq. ft.
Infiltration
IAO
rL-
(i5
' ® J �®
�
Exp. wall
q
Coef.1
Btu
Infiltration
Glass
Int. wall
Floor
6
Exp. wall `Z4
K46
Net exp. wall
Int. wall
Ceiling
Floor
1 otal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
7 F1.1 RA -r U Room I Lensth / Width e -X 14aiaht
Windows and Doors—Crackage and Area
10
Width Height No. of Lineal ft. Area
No. of pane of pane lights of cra k sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
2
Coef.1 Btu
Infiltration
IAO
z 59
Glass
�
Exp. wall
q
Net exp. wall
Ceiling
Int. wall
Floor
Ceiling
Floor
Total Btu.
ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—Crackage and Area
10
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
2
Coef. Btu
Infiltration
Infiltration
z 59
Glass
Z.O
Exp. wall
q
Net exp. wall
Ceiling
Int. wall
Floor
Ceiling
Floor
..., C v saw... , —.6— t .a
` !O ...6..
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
2
Coef. Btu
Infiltration
Glass
Exp.wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu. ,,5 b
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
eb Room I Length --/–Y Width 10 Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal Pt. Area
No. of pane of pane lights of crack I sq. ft.
Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling ,1-5-tA(eo -51
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
r � g
D•56 s �_ v • `� x
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINK.
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes—No 19-
2F1-1 A UG15ir Room I Length /. Width /® Hei!alitII -F I. Room I Lenlzth Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal f . Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
JCoef.j Btu
Infiltration
Coef. Btu
Infiltration
Glass
Exp. wall
I t—b
Exp. wall 'ZG K%
Int. wall
Int. wall
Net exp. wall
Ceiling
Int. wall
Ceiling
Floor
Ceiling
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
157
Floor
1 otal Btu. I I v 6f 7-1
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room (.Length Width -X, Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal Yt. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
JCoef.j Btu
Infiltration
Btu
Glass
Exp. wall
Net exp. wall
Int. wall
Int. wall
Ceiling
Ceiling
Floor
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I1
F1.1 Room I Lensth Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
Coef. Btu
Coef.1
Btu
Infiltration
Glass
Exp. wall
Int. wall
Net exp. wall
Ceiling
Int, wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp, wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
lnhitratlon
Glass
Exp. wall
INet exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Btu
. ai-y 04
Dopt. of nlay. Phortd 5,w•3m • ••
D°'SC?,1PT101t OF Vr"roll#: � z $295'St, k_do.r, Driya -
Numb -4-.. Kim a_7d Lecr!k i of
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install
RrilL
3rtd
Old 074 i.^•cs
PARTIAL RATE SCHEDULE
Cc=pool D
City oY Fridley:.
The undersigned hereby makes application for a per.nit for the- work herei
speciflod, ag ecing to do all work In strict accord-2nce with the Cit? 0 -.di ince
and ruling of the Department of Build:nm and hereby declares that alt the fact
and representations stated in this applicat;on are true zrci ca: t eti"t'
dley. btinri, 4 -23 -?6 19...
Owner John 1viisk9wiee `
Kind of Building frame
Used as T'aS
To be completed about 4-30-76 --
Estimated Cost. 3 10 (}0 (1�y6J) -
.—Pat=it No. `m
Older. Building Permit No.----
Lu�ir3I1tG FI;CTJ1?s. RAILS: 1t0. RATE TOTAL
x $2.0.0. �, Sinned
Aurr.t>er Fixtures ................ -
Future Fixture Opening • . • . • ► .. a .. .�.�-� X $1.50$ , ... By
. P�INNEG � 0
. X $1.50 �.®._... Busin��„s Mine IN
:tiew Fixture O,d C?perinb .....:.... - p�j .
Catch Basin • ...... • .... • ... • • l . X $3.25 $
Water Beater 'Vp to 93°000 BTU) • • • • x $3 00 S - BOUGH
x',1911 Old p;klg, . s ..'e.'. • - ?� a, ,2^51
ElKtt�.0 Yla:t: Host3S� • . :.... o .. r s $2.w
'r1S FITT1:iG FI;E3: No. Ai, TE TOTAL
Ist 3 Fixtures S2.00 $ .
Additicnal Fixtures —. x S .75 S
Cu R•s: +e to 1 .000 BTU x $5.00 4------
5.00
xLTEF.J►,TIOHS--P.o:or !o Cods . '
.50 State Surcharge
.23c:rziytlOn ,•..............:........ s........r:... • ��`,• 5.50 -
TOTAL T= s----
TY OF FF, BEY INSPECTION DIV. Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, C,` L
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS ����
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work
Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the
Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares
Also Replacement Furnace $ 20.00 $ that all the facts and representations stated in this application are
true and correct. ZdZ ,199 --
Gas Piping (Needed with new furnace) $10.40 $ t� 16
OWNER _/„� f�-
Gas Range
Gas Dryer
$10.00 $
$10.00 $
"Air Conditioning - All Sizes $ 10.00 $
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $
Commercial/Industrial
1 % of Value of Appliance or Work $
State Surcharge $ .50_
TOTIkL FEE $_Li��
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
"Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
BUILDING USED AS �eAJ6ZF_ FAIYI&S�Wla5lbo�T14-c
ESTIMATED COST 066D `® PERMIT NO. % )��2
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
HEATING • / i (k'JE1Q,
Signed W—dIL3 gv?A�el No. 6,133
Approved By Rough -In Date Final Date"
MINNESOTASLARGEST
DISPLAY OF OPERATING
FILL OUT BACK SIDE FOR STACK VERIFICA' FIREPLACESANDWOODSTOVES
IN HOMELIKE SETTINGS
REPLACEMENT FURNACE � � FIREPLACESWCE PECIALISTS
951
/� ®p� ur CORN R I
-ff a c h �C�: 6 =TECONMCMa 0100 (612) 633-2561
2700 N. FelrviewAve. (81CO. Rd. T) •ROseville. MN 55113
I', .. .,/
SuBJEL"T
City of Fridley
30839
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
REC NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 . �
"I CITY HALL FRIDLEY 35432
NUMEIER
REv
DATE
PAGE OF
AOPROVED By
1 612-571-3450
910-F15
4/18/00
JOB ADDRESS 5295 St Imier Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
1
Innsbruck 5th Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
David/Bobby Kuether 5295 St Imier Drive NE
571-3146
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
New Haven Construction 4208 83 Ave N, Brooklyn Park,
MN 55443 566-5225 20077950
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION j7 REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (45 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1.97
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,933
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OROCAL LAW REGULATING CON-
STRUCTION OR THE PERFO A E OF NSTRUCTION
PLAN CHECK FEE
TOY L FEE
Licens $
0
108.15
SIGNATu EOFCONT ACT &ORA moRIZEOAGENT iOATEj
H PR
LY VALID TE THIS IS YOU PER T
S6L..JJJ
SIGNATURE OF OWNER. OWNER SUILDM DATE
8 DG NSP'
gAfE
I', .. .,/
APR -14-1999
NEW [ 1
ADDN C l
ALTER f l
11:34 FROM CITY OF FRIDLEY TO
ConstructionAddress:
Legal Description:
Owner Name &.Addrreess::
Contractor: 0 " 8
AAA-- U01 !%i
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
5667183 P.01i02
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Tel. It lC10.
•L.K MN LICENSE #® 7 g
w�'.f` ►� _ �►.1�
IM&I • _Tel. # 0.Z 2
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length WidthHeight Sq. Ft.
Length
Width �– Height Sq. Ft.
�—.--
Length Width Hgt/Ground Sq. Ft.
Construction Typc: 4J►K-
D -4r E V4 "2r— Estimated Cost:. --
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $_
_$
DATE:467
♦ APPLICANT:.� Tel. #
CITY U E NLY
TOTAL $ ®OL
STIPULATIONS:
#A , ,
$_ l /
Fee Schedule on Reverse Side
Permit Fee
$ j 3
001 of Permit Valuation (1/10th%)
Fire Surcharge
State Surcharge
$
$.50/$1,000 Valuation
SAC' Charge
$
$ -�®
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
License Surcharge
$
Alt. "A" or Alt. "B" Above
Driveway Escrow
$
$450.00 Conservation Plan Review
Erosion Control
$
Fee Determined by Engineering
Park Fee
Sewer Main Charge
$. _
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ ®OL
STIPULATIONS:
#A , ,
�IF
0 - b
SUBJECT
RMIT
City of Fridley
300 0
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
�
REC
• COMMUNITY DEVELOPMENT DIV.
�.• -____
INSPECTION SEC.
f � PROTECTIVE
CITY HALL FRIDLEY 55432
NUMQER
IEV
OATE
PAGE OF
A01PROVEO By
L 612-571-3450
910-F15
5/5/00
10B ADDRESS 5295 St Imier Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
$
1
Innsbruck 5th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bobbie Kuether 5295 St Imier Drive
NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
New Haven Construction Co Inc 4208 83 Ave N, Brooklyn Park, MN 55443 20077950
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
763-566-5225
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW J ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 14' x 16' Deck
9 CHANGEOFUSEFROM
TO
STIPULATIONS
See notations on plan.
no
WA KNOW I No G
Before digging call for
SEPARATE PERMITS
all utility locations
�5�-0002
REQUIRED FOR:
REQUIRED 18119F LAW
WIRING
PLUMS NGS AMD SIGNS
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2,100
$1'05
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF A OTHER STATE OR LOCAL LAW REGULATING CON.
Fire SC $2.10
CE OF ONSTRUCTION
STRUCTION OR E PERzrT"1-O
$$3 ZS
r>
PLAN CHECK FEE
Licens 5.00
TOTA E
$91.40
AUTMORiZED AGENT 1 ATE.
N P OPER IDAT HIS IS YOUR PERMIT
SIGNATURE Of OWNERdF OWNER SUILDERI ICATEi
L0 INS; T1A TE
�IF
0 - b
NEW I ] Effective 1/1/2000
ADDN I l CITY OF FRIDLEY (763) 57 - Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDIN�ERMITAPPLICATION A� I
Construction Address: S• Z 9 S !&t, v e
Legal Description:
Owner Name & Address:
�;y A -h
ex— Tel. #
Contractor: Mew d juza,.
Ca. �' n ' MN LICENSE #
7,0p7-7 950
Address: 61200 e
A-, 2 nj
('czar IanRA— ,% / Tel. #
-76 7- S(6°TZ? S—
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft
GARAGE AREA: Length Width --7—
Height Sq. Ft
DECK AREA: Length G� Width G Hgt/Ground 1 y p Sq. Ft 2 '
,/��ER:
Construction Type: /1/et,/ 1D CIK Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ _ $
DATE: 7/w APPLICANT: X 'I 17/ Tel. #
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge .001 of Permit Valuation (1/10th%)
State Surcharge $ 1,05 $.50/$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
S'�GPS2z �
$_$1 100 per SAC Unit
$5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ j
TOTAL
STIPULATIONS:
$ 91, y0
Ir
iW5 NL
R go,
ENGUNEERING' INC.,Sol
I Fslhwl 4-066:
�t. irteersSr�aef�.�!N�F4� ..
� r .✓'!J ` -
tfaicate of onRareotRO.DNEY BILL
BARN CIRCLE AST
lko
c: -
V
q�
Y 71
rol
a r.^
t' Y fit` Ti G?i.Q �s"Y
�tr.9S�QUC.K � `;''ri A,Q�a�rrt ON
SRI
.Qa �RtaPJ k•NAlUhk
( 1ri:O'i't DI,AWAX+E Anka,QT)LVTY t^-'%E MLNi5.
r 0 /rw and Wv► reyarx�ser h>f�ar, aa st�x[�f: qr* hz r' v s tOw 1409,' "turd d
r
aad dtl risi6vr � OWMAMO , , ,' rri a,- an Awd knd! As sur►ryrd: hq #re ed6y
�►Y� A.D IJ.�. _ .
z SU6 URBAN 6VOINEE.PIh►C2.. INC,
. .. :0., -CJI$ �• 00'�;U'�a do �ao� �o iso;,-pa���`' y�' • � �
' QQ�Q�� " Ci7bfli;4'�, .zBAO 2•i'ZOM..Z(f 7RA�1 na�cm•T�cn ,_
s O�
CITY OF FRIDLEY INSPECTION DIViSION )° Effective On January 1, 2000
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Commercial/Industrial
1.25 jo of Value of Appliance or Work
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
$ The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE 100/01
HEATING CO ' I U I /j V" 11 _IJUA
Signed � O TEL #10 h,
Approved Rough -In Date Final Date
JOB ADDRESS�� I�yIIy
RATE SCHEDULE
?I �i tm
OWNER•
Residential
Rate
TOTAL
i
Furnace Shell and Duct Work, Burner -
BUILDING USED AS
Also Replacement Furnace
$ 30.00
$
&V
(Side Vent - Fill Out Back)
ESTIMATED COST PERMIT NO.
Gas Piping (Needed with new furnace,
$ 10.00
$
but not replacement)
DESCRIPTION OF FURNACE AND OR BURNER
Gas Range
$ 10.00
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Gas Dryer
$ 10.00
$
Trade Name Size No.
^
BTU HP EDR
*Air Conditioning- All Sizes
$ 25.00
$� °�o
Fuel Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK)
Burner Trade Name Size No.
1% of Value of Appliance or Work
$
BTU HP EDR
Commercial/Industrial
1.25 jo of Value of Appliance or Work
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
$ The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE 100/01
HEATING CO ' I U I /j V" 11 _IJUA
Signed � O TEL #10 h,
Approved Rough -In Date Final Date
COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and- firestopped where required. Yes O No ( )
The venting system is plastic/PVC and meets all "current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes( No,( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA -LAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes( ) No( )
When required to install a iiew combustion airit wiii be sized and installed
To meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( ) No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
BTU Input
Fan Assisted or Nat
Appliance#2 Type
BTU Input
Fan Assisted or Nat
Appliance #3 Type
BTU Input
Fan Assisted or Nat
Total Appliances
Total Btu Input
Common Vent Type
Vent Height
Diameter inches
Appliance #1 Vent Connector Height
ft Length
ft Diameter in Type
Appliance #2 Vent Connector Height
ft Length
ft Diameter in Type
Appliance #3 Vent Connector Height
ft Length
ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :
CITY OF FRIDLEY INSPECTION DIVISION
6431 UniversityAveNE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential Rate
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace $ 30.00 $
(Side Vent - Full Out Back)
Gas Piping (Needed with new furnace, $ 10.00 $
but nor replacement)
Gas Range $ 10.00 $
Gas Dryer $ 10.00 $
*Air Conditioning -AII Sizes $ 25.00 $
All Others/Repairs & Alterations (LIST ON PAGE TWO)
1 % of Value of Appliance of Work $
Commercial/Industrial
1.25% of Value of Appliance or Work $
State Surcharge $
TOTALFEE $
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Total
30.00
JOBADDRESS
5295 St. Imier Drive
OWNER David & Bobbi Kuether
Effective on January 1, 2000
BUILDING USED AS
ESTIMATEDCOST 6000.00 PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units 1 Check One: Steam ❑ Hot Water ❑ Warm Air ❑✓
Trade Name TRANCE Size No.
BTU 120,000 HP EDR
Fuel Natural Gas Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all the facts and
representations stated In this application are true and correct.
Date 12/18/2000
HEATING CO Total Comfort
SIGNED _
TEL# 76338383li3 A
4&-e
Approved By
Rough -in Date Final Date
FILL OUT PAGE TWO FOR STACK VERIFICATION ON REPLACEMENT FURNACE
'9
COMMON VENT, VENT CONNECTORAND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is
free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ❑ No ❑
The venting system is plastic/PVC and meets all current codes and manufacturer specifications Including sizing,
Yes ❑
No ❑
length, number of elbows and termination.
The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and
manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan
❑
❑
assisted and natural draft appliances.
Yes
No
Yes ❑
No ❑
The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications.
When required to Install a new combustion air, it will be sized and insalled. To meet the current codes and
Yes ❑
No❑
maufactures specifications.
When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the
current codes and manufacture's specifications. This does include AGA-GAMA Category I Central Furnace Venting
Yes ❑
No ❑
Tables for fan assisted and natural draft appliances.
Is the coomon vent and vent connectors sized and installed correctly after an appliance has been removed from the
Yes ❑
Nor -1
coomon vent and vented separately as per current codes.
Appliance #1 Type BTU Input Fan Assisted ❑ or Nat
❑
Appliance #2 Type BTU Input Fan Assisted ❑ or Nat
❑
Appliance #3 Type BTU Input Fan Assisted ❑ or Nat
❑
Total Appliances Total BTU Input
Common Vent Type Vent Height Diameter
inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
Alterations: (Describe)
REMOVE & REPLACE EXITING FURNACE, COIL AND HUMIDIFIER
HFATINGCO: Total Comfort
Signed By: _
Date: 12/18/2000
ti
AAW
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287
June 15, 2001
Mr. David Kuether
5295 St Imier Drive NE
Fridley, MN 55421
Re: Final Inspection at 5295 St Imier Drive NE
Contractor: Total Comfort
Dear Mr. Kuether:
A mechanical permit was issued on January 18, 2001 to install a furnace at your address.
According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be
conducted on the mechanical work authorized by this permit. As of this date, no inspection has
been called for.
The permit fee that was paid covers the inspections to make sure the work was completed
according to the Mechanical Code. We will keep your permit open for another 30 days and if we
do not hear from you within this time to set up the inspection, we will expire the permit and no
further action will be taken.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
iji/mil
a IP 720 Dubuque Ave., South San Francisco, Ca. 94080
+�s .
Government Services: 888-330-1777
r c
Fax:877-846-5888
Mail
To: Fridley
Building
6431 University Ave NE
Fridley
MN 55432
Phone: 7635713604
Fax: 7635711287
Permit Handling Instructions
Mail
The approved permit will be mailed to you.
Additional Comments
Permit
Application
Company: Total Comfort Worker's Comp Carrier. E.C. Fackler
Address: 12800 HWY 55 Worker's Comp: 022WC20000011 Exp. 10/26/2002
City: Plymouth State Contractor's License: 0000 Exp. 01/01/2001
State / Zip: MN 55441 License Class / Type:
Exp.
Phone: 7633838383
Exp.
.Fax: 7633838500
Business License #: Exp.
Email: gleniseh@tcomfort.com
Credit Card Number:
Expiration Date:
Card Holder Name:
Homeowner Name:
Project Address: 5295 St. Imier Drive
Valuation:
Job Description:
Residential ❑ Commercial ❑
Payment: ° l
,rmit Type: Check
termit 1D: 69490
Visa: F1
Mastercard: El
Other: El
Homeowner Phone Number:
Attachments: WC [:] SCL 0 SASE 0 AA [—] CBL E] CCA
Agent Authorization: ORCa ❑ NOT.
AA Type:
Building
PLUMBING
Permit No �Aw'w-
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLE_Y
Date Rec'd: %
DATE L 75 U� YOUR E-MAIL ADDRESS
SITE ADDRESS % % S� S T_ T__'N,�/�
THIS APPLICANT IS: DOWNER DCONTRACTOR
PROPERTY
NAME:
ADDRESS: Zg S 157- STATEA�IP S�
OWNER/
TENANT
PHONE:
CONTRACTOR
NAME:
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE
ADDRESS: CITY STATE—ZIP-
TATEZIPLICENSE
LICENSEWITH
PHONE FAX
APPLICATION
PERMIT TYPE
JkSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW ❑ REPLACEMENT
DETAILED DESCRIPTION OF WORK WA- Tf r?- Sth-T aFf
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This.should-reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 =
,FOR,PROJECTS WHERE LABOR EXCEEDS -S500 TEES ARE BASED ON $10.00 PER FIXTUREEXCEPTW33ERE NG,TED. ;F-OCRMSs-<(INDIGATE TOTAL .
NUMBER OF EACH BELOW)
BATH SINKILAV DRAINS SHOWER _ WATER PIPING
_ _FLOOR _
GAS PIPING fvm cnyucFrss) _ SWIMMING POOL _ WATER SOFTNER ($35)
—BATHTUB _
CLOTHES WASHER KITCHEN SINK —WATER CLOSET _ BACKFLOW PREY. ($15)
_ _
DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
_ _
_ WATER METER —OTHER
Y y-
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50,
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $
State Surcharge = $ .50
Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANTT PRINT NAME ' �0�'� �� / i Mt-- DATE
<.Vi §1: u
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977